Individual
JANET OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2207 SHADYNOOK PIKE, CYNTHIANA, KY 41031
(859) 235-8926
Mailing address
2207 SHADYNOOK PIKE, CYNTHIANA, KY 41031
(859) 235-8926
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
065109-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01540629
—
NY
Enumeration date
07/20/2007
Last updated
07/20/2007
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